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Clinical Characteristics and Outcome of Pneumomediastinum in Patients with COVID-19 Pneumonia.
Kangas-Dick, Aaron; Gazivoda, Victor; Ibrahim, Mudathir; Sun, Arony; Shaw, Jason P; Brichkov, Igor; Wiesel, Ory.
  • Kangas-Dick A; Department of Surgery, Maimonides Medical Center, Brooklyn, New York, USA.
  • Gazivoda V; Department of Surgery, Maimonides Medical Center, Brooklyn, New York, USA.
  • Ibrahim M; Department of Surgery, Maimonides Medical Center, Brooklyn, New York, USA.
  • Sun A; Department of Surgery, Maimonides Medical Center, Brooklyn, New York, USA.
  • Shaw JP; Department of Surgery, Maimonides Medical Center, Brooklyn, New York, USA.
  • Brichkov I; Division of Thoracic Surgery, Maimonides Medical Center, Brooklyn, New York, USA.
  • Wiesel O; Department of Surgery, Maimonides Medical Center, Brooklyn, New York, USA.
J Laparoendosc Adv Surg Tech A ; 31(3): 273-278, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-772741
ABSTRACT

Introduction:

Pneumomediastinum (PM) is characterized by the presence of air within the mediastinum. The association between PM and coronavirus 2019 (COVID-19) has not been well established in the current literature. We sought to summarize the limited body of literature regarding PM in patients with COVID-19 and characterize the presentation and clinical outcomes of PM in patients with severe acute respiratory syndrome (SARS)-COV-2 pneumonia at our institution to better define the incidence, prognosis, and available treatment for this condition. Materials and

Methods:

All patients with a proven diagnosis of COVID-19 and PM between March 18, 2020 and May 5, 2020 were identified through hospital records. Retrospective analysis of radiology records and chart review were conducted. Clinical characteristics and outcomes were collected and descriptive statistics was analyzed.

Results:

Thirty-six patients met inclusion criteria. Out of the 346 intubated COVID-19 patients, 34 (10%) had PM. The incidence of PM increased for the first 4 weeks of the pandemic, and then began to decrease by week 5. At the endpoint of the study, 12 (33.33%) patients were alive and 24 patients (66.67%) had died.

Conclusion:

PM, although a rare phenomenon, was more prevalent in COVID-19 patients compared with historical patients with adult respiratory distress syndrome. The etiology of this condition may be attributed to higher susceptibility of patients infected with SARS-CoV-2 to a combination of barotrauma and airway injury.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / SARS-CoV-2 / COVID-19 / Mediastinal Emphysema Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: J Laparoendosc Adv Surg Tech A Year: 2021 Document Type: Article Affiliation country: Lap.2020.0692

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / SARS-CoV-2 / COVID-19 / Mediastinal Emphysema Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: J Laparoendosc Adv Surg Tech A Year: 2021 Document Type: Article Affiliation country: Lap.2020.0692